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Active SSc Cutolo Pattern: Representative Case

Name: Active SSc Cutolo Pattern: Representative Case
Creator: Borja Gracia Tello

Systemic SclerosisActive Cutolo SSc PatternModerate to Severe

Images & measurements32

Complete capillaroscopy study with prominent giant capillaries, hemorrhages, and moderate capillary loss.

AuthorBorja Gracia Tello

Clinical context

In active Cutolo SSc, pattern reading depends on the balance of giant capillaries, hemorrhages, density loss, and early disorganization across several fields.

Capillaroscopy

The study shows frequent giant capillaries and hemorrhages with reduced density and early architectural disorganization.

Key Capillaroscopic Findings

Frequent giant capillaries
Hemorrhages with capillary density reduction
Beginning architectural disorganization

Atlas images from this case

Active scleroderma pattern: giant loop

Active scleroderma pattern: giant loop

The study, field by field

Images & measurements

Explore the fields from each finger and open any image for a closer look. Measurements describe the complete examination at each visit.

Images contributed by Borja Gracia Tello

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Active SSc Cutolo Pattern: Representative Case

The study shows frequent giant capillaries and hemorrhages with reduced density and early architectural disorganization.

Recorded measurements

Capillary density: 5.44capillaries/mm
Enlarged capillaries: 78.81%
Giant capillaries: 10.75%
Hemorrhages: 0.76/mm

Values from the saved analysis: density and hemorrhages per total analyzed length; percentages of the total capillary count. These are not measurements of an individual image and may differ from averages across fields.

Left index finger

4 images

Nailfold capillaroscopy: left index finger, field b. Active SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: left index finger, field b.
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Nailfold capillaroscopy: left index finger, field c. Active SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: left index finger, field c.
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Nailfold capillaroscopy: left index finger, field d. Active SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: left index finger, field d.
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Left middle finger

4 images

Field A
A prominent enlarged loop in the active-pattern reference study. Compare the neighboring capillaries and the other fields before assigning a pattern.
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Read the atlas commentary

Nailfold capillaroscopy: left middle finger, field b. Active SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: left middle finger, field b.
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Nailfold capillaroscopy: left middle finger, field c. Active SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: left middle finger, field c.
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Nailfold capillaroscopy: left middle finger, field d. Active SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: left middle finger, field d.
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Left ring finger

4 images

Nailfold capillaroscopy: left ring finger, field b. Active SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: left ring finger, field b.
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Nailfold capillaroscopy: left ring finger, field c. Active SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: left ring finger, field c.
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Nailfold capillaroscopy: left ring finger, field d. Active SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: left ring finger, field d.
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Left little finger

4 images

Nailfold capillaroscopy: left little finger, field b. Active SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: left little finger, field b.
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Nailfold capillaroscopy: left little finger, field c. Active SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: left little finger, field c.
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Nailfold capillaroscopy: left little finger, field d. Active SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: left little finger, field d.
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Right index finger

4 images

Nailfold capillaroscopy: right index finger, field b. Active SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: right index finger, field b.
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Nailfold capillaroscopy: right index finger, field c. Active SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: right index finger, field c.
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Nailfold capillaroscopy: right index finger, field d. Active SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: right index finger, field d.
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Right middle finger

4 images

Nailfold capillaroscopy: right middle finger, field b. Active SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: right middle finger, field b.
CC BY 4.0

Nailfold capillaroscopy: right middle finger, field c. Active SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: right middle finger, field c.
CC BY 4.0

Nailfold capillaroscopy: right middle finger, field d. Active SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: right middle finger, field d.
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Right ring finger

4 images

Nailfold capillaroscopy: right ring finger, field b. Active SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: right ring finger, field b.
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Nailfold capillaroscopy: right ring finger, field c. Active SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: right ring finger, field c.
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Nailfold capillaroscopy: right ring finger, field d. Active SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: right ring finger, field d.
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Right little finger

4 images

Nailfold capillaroscopy: right little finger, field b. Active SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: right little finger, field b.
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Nailfold capillaroscopy: right little finger, field c. Active SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: right little finger, field c.
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Nailfold capillaroscopy: right little finger, field d. Active SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: right little finger, field d.
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